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Resolution Specialist

  • Location: Buena Park
  • Sector: Legal
  • Employment type: Permanent
  • Date posted: Aug 13, 2018
  • Closes: Sep 10, 2018
We are currently looking for Resolution Specialists, particularly in the realm of Worker’s Compensation. This is a hybrid position that works with Lien and Litigation Department Management to quickly and accurately move files towards closure and/or successful litigation.  Ideal candidates must possess the skills to carry out lien negotiations, manage a heavy caseload of liens and files, and bring rapid file closures while providing the highest quality of service to our client. This position requires appearances at WCAB.
Job Description:
As a Resolution Specialists you will be responsible for, but not limited to:

File Resolution
- Negotiate lien resolution within parameters set by the Lien Department and in compliance with state Workers' Compensation laws and regulations.
- Prepare status reports for adjusters.
- Provide a settlement plan of action and justification for settlement amounts to be included in all requests for authority.
- Evaluate payment histories to determine timeliness of payment and objections.
- Identifying and reporting potential fraudulent activity.
- Establish appropriate defenses by examining all documentation and collecting any pertinent, missing records.

WCAB Appearances
- Handle WCAB appearances as assigned and aim at file closures from the WCAB
- Complete WCAB negotiations and settlements in line with the HCRG litigation policies and philosophy
- Prepare hearing reports and recommendations following all WCAB Appearances and submit all relevant documents to HCRG clients in line with client guidelines.

Physical Requirements:
- The need to move and handle boxes files due to file management and events which entails lifting and perform all functions as set forth.
- Sitting/standing for extended period of times
Job Qualification:

We are looking for a qualified person for this position. The right candidate must:

- Possess strong reasoning, organizational and time management skills.
- Be reliable, dependable and adaptable
- Previous WCAB lien appearance experience
- Knowledge of the WCAB judges and preferred practices
- Basic knowledge of provider billing and some OMFS (this is a plus but not fully required as we do provide expert witnesses and bill review EOB’s)
- Demonstrate proficiency in Microsoft Office Programs (Word, Excel, Outlook).  
- Ability to independently set priorities, multi-task and work under pressure.
- Valid driver’s license and a good driving record

E-mail resume and salary to HR@hcrg.com

Competitive salary, health and dental, paid time off

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(805) 484-0333